WO2024259023A1 - Table d'examen médical mobile et procédés d'utilisation de celle-ci - Google Patents

Table d'examen médical mobile et procédés d'utilisation de celle-ci Download PDF

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Publication number
WO2024259023A1
WO2024259023A1 PCT/US2024/033690 US2024033690W WO2024259023A1 WO 2024259023 A1 WO2024259023 A1 WO 2024259023A1 US 2024033690 W US2024033690 W US 2024033690W WO 2024259023 A1 WO2024259023 A1 WO 2024259023A1
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WO
WIPO (PCT)
Prior art keywords
examination table
stirrups
medical
table according
telescoping
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2024/033690
Other languages
English (en)
Inventor
Eden CARDOZO
Alexandra DELAITE
Steven Greco
Justin Sirotin
Ryan Coyle
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sundial Health Inc
Original Assignee
Sundial Health Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sundial Health Inc filed Critical Sundial Health Inc
Publication of WO2024259023A1 publication Critical patent/WO2024259023A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/105—Portable, foldable or collapsible tables, e.g. for surgery or treatment

Definitions

  • the disclosure relates generally to the field of medical examination tables, namely mobile medical tables that can be used by medical professionals to assist in the effective examination of a patient in an atypical environment. More particularly the tables as described allow patient examinations and other services to be rendered outside the typical medical professional's office where standard nonportable and specialized medical examination tables are required to properly position a patient during examination. Still more particularly, the disclosure describes portable or mobile medical examination tables that can be folded into a relatively compact arrangement to facilitate transport of the medical examination table for medical examinations to a patient’s location or to a depressed area where specialized medical equipment may not be available. Finally, the collapsible examination table as described includes position-able stirrups making it particularly useful in the fields of Obstetrics and Gynecology ("OB/GYN”), colorectal care or other position dependent medical areas.
  • OB/GYN Obstetrics and Gynecology
  • Typical medical examination tables are large, and bulky and are not intended to be portable. Some, which claim portability often refer to the inclusion of one or more wheels or rollers making it possible to reposition that table within the medical environment or doctor’s office.
  • Portable medical tables, including stirrups and other features necessary for proper patient positioning during some examinations do not currently exist in a form that facilitates their transportation outside a medical facility to a patient’s location.
  • Described herein is a mobile medical examination table that can be folded into a compact form that is storable and light enough to be moved and set up by an individual.
  • the mobile medical examination table as described includes both adjustable stirrups and an adjustable seatback allowing for proper patient positioning during a variety of examinations.
  • the compact folded design is similar in look and feel to a portable massage table providing a stable and steady surface upon which a patient can recline during examination.
  • the mobility of the medical examination table as described opens up new opportunities to provide patients with examination capability in atypical locations, for example their home or places or work.
  • the examination table can be carried to areas where medical facilities are unavailable and any room can be set up as a make-shift examination room being able to accommodate and treat a variety of patients including those that may require specialized positioning during examination or treatment, including surgery.
  • any room can be set up as a make-shift examination room being able to accommodate and treat a variety of patients including those that may require specialized positioning during examination or treatment, including surgery.
  • the disclosure relates to a mobile medical examination table, including a first support surface; a second support surface pivotally connected thereto providing a main body; an adjustable seatback connected to the main body; a pair of stirrups, each having a telescoping column, the telescoping columns being connected to the main body; the telescoping columns each having a respective footrest end and an opposing free end; the telescoping columns of the stirrups being pivotally connected to the main body; the opposing free ends of the telescoping columns including a spring-loaded plunger to releasably engage with lock apertures in respective column glides; whereby pulling up on the footrest end of the telescoping columns causes the opposing free ends to unseat its locking pin from a lock aperture for free angular adjustment of the stirrups.
  • FIG. 1 is a perspective view of a medical examination table according to one embodiment in a folded position.
  • FIG. 2 is a perspective view of a medical examination table according to one embodiment in a partially opened position.
  • FIG. 3 is a bottom perspective view of a medical examination table according to one embodiment in an opened position
  • FIG. 4 is a cut-away showing placement of the seat back according to one embodiment of the medical examination table.
  • FIG. 5 is a cut-away showing placement of the seat back according to another embodiment of the medical examination table.
  • FIG. 6 illustrates an extendable footrest arrangement according to one embodiment of the medical examination table.
  • FIG. 7 illustrates an extendable footrest arrangement according to another embodiment of the medical examination table.
  • FIG. 8 is an elevation view of the medical examination table with the seatback in an upright position.
  • FIG. 9 is an elevation view of the medical examination table with the seatback in a lowered position for supine patient placement.
  • FIG. 10 is an enlarged view of one embodiment of a seatback adjustment mechanism for the medical examination table.
  • FIG. 11 is an enlarged view of the seatback adjustment mechanism of
  • FIG. 12 is an enlarged view of the seatback adjustment mechanism of
  • FIGs. 13 to 15 illustrate the operation of the seatback adjustment mechanism according to one embodiment of the medical examination table.
  • FIGs.16 and 17 illustrate the positioning of the seatback adjustment mechanism during use.
  • FIGs.18 and 19 are rear plan views of the examination table illustrating the telescoping extension of the stirrups.
  • FIGs. 20 and 21 are enlarged views of the actuating mechanism for moving the telescoping columns into and out of the examination table.
  • FIGs. 22 and 23 illustrate the nested and extended telescoping columns.
  • FIGs. 24 and 25 illustrate coupling of the stirrups to the telescoping columns according to one embodiment of the medical examination table.
  • FIGs. 26-28 illustrate independent adjustment of the telescoping columns and stirrups.
  • FIGs. 29 and 30 illustrate angular adjustment of the stirrups according to one embodiment of the medical examination table.
  • FIG. 31 is an enlarged view of the mechanism in the telescoping columns that releases the columns unlocking angular movement of the columns and stirrups.
  • FIGs. 32 and 33 illustrate the angular movement of the stirrups.
  • FIG. 34 is a view of the underside of the examination table according to one embodiment showing the arcuate movement of the telescoping columns.
  • FIG. 35 illustrates one embodiment of the medical examination table as described with a folded seatback.
  • a material property or dimension measuring about X or substantially X on a particular measurement scale measures within a range between X plus an industry-standard upper tolerance for the specified measurement and X minus an industry-standard lower tolerance for the specified measurement. Because tolerances can vary between different materials, processes and between different models, the tolerance for a particular measurement of a particular component can fall within a range of tolerances.
  • top describes that side of the system or component that is facing upward
  • bottom is that side of the system or component that is opposite or distal the top of the system or component and is facing downward.
  • side describes that an end or direction of the system or component facing in horizontal direction.
  • Horizontal or horizontal orientation describes that which is in a plane aligned with the horizon.
  • Vertical or “vertical orientation” describes that which is in a plane that is angled at 90 degrees to the horizontal.
  • the present invention provides a new and novel medical examination table that is portable and may be made more compact for ease of transport and storage.
  • the present medical examination table is particularly well-suited for medical examinations in the field of OB/GYN.
  • medical examination table of the present invention is highly customizable yet still portable to provide optimal positioning for examination and comfort for the patient.
  • the present invention is directed to a foldable medical examination table that includes a seatback adjustment and stirrup adjustment mechanism. More specifically, the length and angle of the stirrups are adjustable in accordance with the present invention.
  • the multi-purpose adjustment mechanism is configured to be low profile in order to fit inside a compact exam table and lightweight to allow for the table to be transported. The mechanism may be easily modified to allow for differing ranges of adjustment options.
  • an object of the present invention is to provide a new and unique medical examination table that may be made more compact for ease of transport and storage.
  • Another object of the present invention is to provide such a portable medical examination table that is well suited for OB/GYN examination and procedures.
  • Yet another object of the present invention is to provide a medical examination table that is highly customizable and adjustable to improve examination by a medical professional and comfort for the patient.
  • FIG. 1 shows the medical examination table 100 of the present invention in a folded compact form where a number of handles 105 are provided to facilitate carrying and storing the examination table when in this compact form.
  • a latch 110 is provided on each side of the table to secure it in a folded condition when such folded condition is desired.
  • One of the latches can be seen in Fig. 1 where the second latch is preferably located on the opposite side of the table (not seen in Fig. 1 ). Bumpers/feet, seen on the top of the folded table assist in protecting the table and upholstery when it is standing in a folded state, or during the folding or unfolding process.
  • FIG. 2 it can be seen how the medical examination table 220 of Fig. 1 is unfolded in preparation for use where two halves of the examination table are pivotably open relative to each other, in the shown embodiment with hinges.
  • two halves of the examination table are opened, legs 230 of the table and supports 240 are unfolded during use of the table 220, as will be described in detail below.
  • the handles 205 and latches 210 are also seen in the unfolded configuration of FIG. 2
  • FIG. 3 shows a bottom view of medical examination table 320 that shows details of the unfolding/folding legs 330, the backrest adjustment mechanism 360, and the stirrups telescoping mechanism as well as the stirrups angular adjustment mechanism, not numbered in this figure.
  • FIGs. 4 and 5 T urning now to FIGs. 4 and 5, the setup and adjustment of the seat back 440 is shown.
  • the seatback pad can be seen attached is reverse orientation to the seatback member when the table is in a compact folded condition.
  • FIG. 5 in preparation for use, the seatback pad 540 is reversed and then reattached to the seatback member, which is pivotally attached to the examination table. As a result, the seatback pad and the seatback member will pivotally travel with each other during adjustment as will be discussed below.
  • FIG. 6 a rear perspective view of the medical examination table with the support surface removed for illustration purposes
  • FIG. 7 a front perspective view of the medical examination table with the support surface removed for illustration purposes, shows the mechanism 690 for adjusting the angle of the seatback 640 relative to the surface of the medical examination table.
  • the different adjustment mechanisms of the medical examination table of the present invention can be seen.
  • the stirrups telescoping mechanism, angular stirrups adjustment mechanism and the seatback angular adjustment mechanism can all be seen in FIGs. 6 and 7 as the support surfaces of the table have been hidden for illustration purposes. It should also be noted that FIG.
  • FIG. 7 shows the keyholes 790 for receipt of posts on the back of the seatback pad for the reversal thereof when the table is being preparing for use.
  • FIGs. 8-17 mechanism for adjustment of the seatback 840 is shown in detail.
  • An armature (or adjustment column) 890 is provided with a number of holes 1096 therethrough whereby a pin 1097 is spring-biased 1095 into engagement with the holes 1096.
  • One free end of the armature 1092 is attached to the back face of the seatback member 840 and the other end is routed through the mechanism of FIG. 10. Additional view of this mechanism are shown in FIGs. 11 and 12.
  • FIG. 16 there are preferably eight lock positions corresponding to eight holes through the armature.
  • the present invention may have more or less than eight lock positions.
  • the seatback member 940 is completely flat, such as seen in FIGs. 9 and 17, the armature 1790 nests up into the bottom of the support surface for a further compact structure to enable the two halves to be folded onto each other into the form shown in FIG. 1 .
  • FIGs. 18- 28 show a telescoping adjustment of the stirrups for carrying out this feature of the present invention.
  • FIG. 18 shows the legs of the stirrups 1880 fully nested inside the examination table while
  • FIG. 19 shows the stirrup legs 1890 fully extended.
  • the legs of stirrups can telescope from 3 inches to as much as 23 inches but the table can be modified to accommodate other lengths.
  • FIGs. 20 and 21 shows details of the construction of how the rails of the stirrup legs actuate in and out of the examination table and how they are locked in place after they are adjusted to the desired length.
  • the rails of the stirrup legs preferably use another spring-biased locking pin type arrangement.
  • a lock release pull retracts a spring-biased pin to unseat it from one of the selected holes in the underside of the rail/column.
  • the rail/column preferably nests flush into the examination table so a compression spring is preferably used to help eject the rail column so it can be extended.
  • FIG. 22 the rail column is pushed into the body of the examination table support surfaces so it nests flush, as seen in FIG. 23.
  • a locking mechanism be provided so the press of the rail column causes it to lock against the forces of the spring so it stays flush.
  • the column is preferably released by pulling the same spring-biased pin used to adjust the length thereof.
  • the spring acts only as an ejector mechanism. Thus, pushing the column inwards locks the column via the spring-biased pin into the last hole in the column.
  • the footrest portion of the stirrups are releasably connected to the free ends of the rail columns for later receipt of the patient's feet.
  • a thumbscrew preferably retains the footrest in place.
  • the pull tabs connected to the spring-biased pins, one for each the stirrups respectively permit the user to retract the spring-biased pins for length adjustment of the stirrup legs to customize the examination table for the patient.
  • FIGs. 29-34 show the angular adjustment of the stirrups for even further custom adjustment of the medical examination table of the present invention.
  • FIGs. 29 and 30 show the general range of angular adjustment of the legs of the stirrups.
  • FIG. 29 shows the stirrup legs substantially parallel at a zero degree adjusted position while FIG. 30 show a more substantial angle of 30 percent.
  • the preferred range of adjustment is between zero and 30 degrees but this may be modified as desired.
  • each of the legs of the stirrups pivot at a pivot point where movement of the footrest end of the respective stirrups causes the opposing free end thereof to move up and down slightly.
  • a number of locking apertures are provided along the path of the columns guides to permit the user to select the desired angle of each stirrup telescoping column.
  • the footrest end of the telescoping stirrup column is released so the locking pin may extend into the closed lock aperture.
  • the locking pin is not exactly aligned with one of the lock apertures, the telescoping column is pivoted to the left or right, as desired, and then locking pin will slide into a lock aperture to lock the angular position of a given telescoping stirrup column.
  • four locking locations using four lock apertures on each respective arcuate glide columns may be used but more or less than four locking positions may be employed if desired.
  • FIG. 35 provides another embodiment of the portable medical examination table as described.
  • the medical examination table 3520 includes a support surface, 3525 resting on legs 3530 which are further supported by support members 3535.
  • the seat back 3540 is not pivoted for reattachment but the search is hinged along fold line 3545 allowing the seat back to be folding to fit along the outside of the support surface upon after folding the examination table up.
  • the examination table 3520 has adjustment tabs 3570 for controlling the adjustment mechanisms as discussed above.
  • an extended leg rest 3501 and arm rest 3502 have been included for the comfort of the patient.
  • the present invention provides a mobile and transportable medical examination table that provides specific accommodations for
  • OB/GYN examination namely, an angularly adjustable seatback and fully adjustable stirrups for an examination table that provides all of the features of a full standard in office table.
  • the ability to provide such full adjustability in a mobile and collapsible/foldable configuration is a significant advance over prior art medical examination tables.
  • the portable medical examination table as described can be used to treat or examination patients in the lithotomy position which is typical for gynecologic, rectal and urological examinations or surgery, but it is also useful for any examination that can be during carried out on a flat table including physical examinations, ultrasounds, blood draws, physical therapy. In areas where medical facilities may not be available, the portable medical table as described can be used to examine and treat a most conditions that can be addressed in a medical office having specialized examination table.
  • the portable table as described may also find use, for example, as equipment in an ambulance, or a nursing home, or for a doula should one need to provide assistance to a women in active labor who may be too far along to reach a medical facility.
  • portable medical examination table As used herein, “portable medical examination table,” “medical table,” “examination table,” and “portable table” are used interchangeably to refer to the table as described that may be folded as seen in FIG. 1 and fully opened as seen in FIG. 35.
  • footrests As used herein the terms “footrests,” “footpads,” and “stirrups” all refer to the object at the end of the telescoping member upon which a patient’s foot would rest. Any art recognized stirrup or footrest configuration may be used with the instant examination table.
  • conditional language such as, among others, “can,” “could,” “might,” or “may,” unless specifically stated otherwise, or otherwise understood within the context as used, is generally intended to convey that certain aspects include, while other aspects do not include, certain features, elements and/or steps. Thus, such conditional language is not generally intended to imply that features, elements and/or steps are in any way required for one or more particular aspects or that one or more particular aspects necessarily comprise logic for deciding, with or without user input or prompting, whether these features, elements and/or steps are included or are to be performed in any particular aspect.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

L'invention concerne une table d'examen médical portable ou mobile et des procédés de mise en place et d'utilisation de celle-ci. Les professionnels de la santé peuvent utiliser la table d'examen telle que décrite pour examiner efficacement des patients dans des réglages atypiques. La table d'examen médical comprend un positionnement réglable du patient le rendant approprié à tous les examens notamment ceux d'obstétrique et de gynécologie, d'urologie, les examens colorectaux, l'imagerie ou toute intervention médicale nécessitant un positionnement anatomique spécialisé.
PCT/US2024/033690 2023-06-12 2024-06-12 Table d'examen médical mobile et procédés d'utilisation de celle-ci Ceased WO2024259023A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US202363507598P 2023-06-12 2023-06-12
US63/507,598 2023-06-12

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WO2024259023A1 true WO2024259023A1 (fr) 2024-12-19

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4180062A (en) * 1978-04-10 1979-12-25 James Alberti Portable childbirth chair with electronic monitoring apparatus
US4958816A (en) * 1989-11-20 1990-09-25 Midmark Corporation Stirrup assembly for examination table
US20050069377A1 (en) * 2003-09-29 2005-03-31 The Brewer Company, Llc Stirrup support indexer for a medical examination table
US20090199339A1 (en) * 2008-02-11 2009-08-13 Martin Manufacturing Company, Llc Medical examination table and system for mounting accessories to the table
US20130318717A1 (en) * 2012-06-01 2013-12-05 Ngozi A Iheoma Compact and portable gynecological exam device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4180062A (en) * 1978-04-10 1979-12-25 James Alberti Portable childbirth chair with electronic monitoring apparatus
US4958816A (en) * 1989-11-20 1990-09-25 Midmark Corporation Stirrup assembly for examination table
US20050069377A1 (en) * 2003-09-29 2005-03-31 The Brewer Company, Llc Stirrup support indexer for a medical examination table
US20090199339A1 (en) * 2008-02-11 2009-08-13 Martin Manufacturing Company, Llc Medical examination table and system for mounting accessories to the table
US20130318717A1 (en) * 2012-06-01 2013-12-05 Ngozi A Iheoma Compact and portable gynecological exam device

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